BIG WATER EMERGENCY PHYSICIANS, LLC (NPI# 1902171119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902171119 |
| Entity Type | Organization |
| Organization Name | BIG WATER EMERGENCY PHYSICIANS, LLC |
| Practice Address |
1796 Us Highway 441 N Okeechobee FL 34972-1918 |
| Mailing Address |
Po Box 37872 Philadelphia PA 19101-0172 |
| Practice Telephone | 9732511132 |
| Mailing Telephone | 9732511132 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1796 US HIGHWAY 441 N |
| City | OKEECHOBEE |
| State | FL |
| Zip Code | 34972-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922272459 | Kerri Marie Varney | Nurse Practitioner | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2008-04-16 |
| 1740881424 | John David Schriner | Pharmacist | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2020-11-08 |
| 1346861879 | Danny Nguyen | Pharmacist | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2020-05-06 |
| 1912370404 | Fortis Emergency Physicians, LLC | Physician Assistant | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2015-11-05 |
| 1700259298 | Meridian Emergency Physicians, LLC | Physician Assistant | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2015-11-05 |
| 1770843187 | Lake Macaco Inpatient Services, LLC | Hospitalist | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2012-05-18 |
| 1376818500 | Fl-i Medical Services, Pa | Physician Assistant | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2012-03-21 |
| 1851611768 | Bryan M Dawkins | Family Medicine | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2010-06-03 |
| 1033383096 | Simeon Usifo Osemota | Emergency Medicine | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332439 | Jennifer Elisha Tillman | Case Manager/Care Coordinator | 304 Nw 5th St Plaza 300, Okeechobee, FL 34972 | 2020-07-01 |
| 1265923379 | Terry Oneal Williams | Adult Companion | 1112 Nw Park Street, Okeechobee, FL 34972 | 2018-05-24 |
| 1720445414 | Anchor Dental Okeechobee, Pa | Dentist | 608 North Parrot Ave, Okeechobee, FL 34972 | 2016-01-26 |
| 1538436522 | Everglades Pediatric Dentistry, LLC | Dentist | 2029 Highway 441 North, Okeechobee, FL 34972 | 2011-11-19 |
| 1023301009 | Casandra Denise Wait | Developmental Therapist | 314 Nw 5th Street, Suite 314, Okeechobee, FL 34972 | 2011-05-24 |
| 1710205224 | Jeannie Moore Anderson | Mechanotherapist | 1865 Nw 5th St, Okeechobee, FL 34972 | 2010-05-07 |
| 1619128162 | Frances Elizabeth Fongkin | Nurse Practitioner | 208 Ne 19th Drive, Okeechobee, FL 34972 | 2008-10-02 |
| 1356528210 | Raulerson Gyn LLC | Obstetrics & Gynecology | 1713 Highway 441 North, Suite F, Okeechobee, FL 34972 | 2008-01-23 |
| 1952529745 | Michael A Garvin Dpm Pa | Podiatrist | 235 Ne 19th Drive, Okeechobee, FL 34972 | 2007-04-24 |
| 1730306473 | George Lee Roberson | Social Worker | 16800 N Hwy 441, Okeechobee, FL 34972 | 2007-04-20 |
| Find all providers in zip 34972 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600092 | Luis C Diaz | Emergency Medicine | 1796 N Hwy 441, Okeechobee, FL 34973 | 2005-09-26 |
| 1174808349 | Florida Em-i Medical Services, P.a. | Emergency Medicine | 1796 Highway 441 N, Okeechobee, FL 34972-1918 | 2011-10-19 |
| 1144505892 | Speckled Perch Emergency Physicians | Emergency Medicine | 1796 Highway 441 N, Okeechobee, FL 34972-1918 | 2011-10-13 |
| 1033383096 | Simeon Usifo Osemota | Emergency Medicine | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2008-04-21 |
| 1740277300 | Horacio Reinoso | Emergency Medicine | 1796 Highway 441 N, Okeechobee, FL 34972-1918 | 2005-09-29 |
| 1487640645 | Okeechobee Emergency Physicians Inc | Emergency Medicine | 1796 Highway 441 N, Okeechobee, FL 34972-1918 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443965 | Baptist Hospital Inc | Emergency Medicine | 8888 Navarre Pkwy Ste 106, Navarre, FL 32566-3616 | 2020-10-07 |
| 1356958631 | Fg Rapid Results, LLC | Emergency Medicine | 115 Nw 167th St Ste 101, North Miami Beach, FL 33169-6052 | 2020-09-30 |
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1003454430 | South Florida Urgent Care Centers, LLC | Emergency Medicine | 1855 N Corporate Lakes Blvd Ste 2, Weston, FL 33326-3274 | 2019-12-17 |
| 1649814054 | Emergency Medicine Professionals Pa | Emergency Medicine | 3120 Howland Blvd, Deltona, FL 32725-2905 | 2019-10-30 |
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | OKEECHOBEE |
| Zip Code | 34972 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.